LISA GREGORY NURSE PRACTITIONER NPI 1104254275

NPI Information

  • NPI: 1104254275
  • Provider Name: LISA GREGORY, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: VETERANS HEALTH ADMINISTRATION 10701 EAST BLVD
    CLEVELAND, OH
    ZIP 44106
  • Phone: (989) 930-7780

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NPI Details

Lisa Gregory, NURSE PRACTITIONER is a family nurse practitioner in Cleveland, OH. Lisa Gregory, NURSE PRACTITIONER NPI is 1104254275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

VETERANS HEALTH ADMINISTRATION 10701 EAST BLVD
CLEVELAND, OH
ZIP 44106-456
Phone: (989) 930-7780

The NPI 1104254275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2013 and was last updated on 6/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704219837MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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